Healthcare Provider Details

I. General information

NPI: 1992134357
Provider Name (Legal Business Name): JUDSON ROBERT SMITH N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PATTERSON ST EMERGENCY DEPARTMENT
NASHVILLE TN
37203-1538
US

IV. Provider business mailing address

3103 WINBERRY DR
FRANKLIN TN
37064-6219
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-1000
  • Fax:
Mailing address:
  • Phone: 315-323-1784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number18077
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18077
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: